1518148964 NPI number — PATRICK W. FRANK, DC

Table of content: (NPI 1518148964)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1518148964 NPI number — PATRICK W. FRANK, DC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PATRICK W. FRANK, DC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
FRANK ACUPUNCTURE & CHIROPRACTIC CLINIC
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1518148964
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/26/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
601 MEADOW LANE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WAUSEON
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
43567-1229
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
419-335-5851
Provider Business Mailing Address Fax Number:
419-335-8000

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
601 MEADOW LANE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WAUSEON
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43567-1229
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
419-335-5851
Provider Business Practice Location Address Fax Number:
419-335-6256
Provider Enumeration Date:
11/14/2007

Additional Information

Authorized Official

Authorized Official Last Name:
FRANK
Authorized Official First Name:
PATRICK
Authorized Official Middle Name:
WILLIAM
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
419-335-5851

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  2174 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 000000139241 . This is a "ANTHEM BC/BS" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 0093460 . This is a "CIGNA" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 0239174 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 02732 . This is a "PARAMOUNT HEALTH CARE" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 275741577-00 . This is a "OHIO BWC" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".




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